Study on Prescribing Pattern of High Alert Medications in the Medical Intensive Care Unit
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
The Institute of Safe Medication Practices (ISMP), the Institute for Healthcare Improvement (IHI), and the Joint Commission (JC) are some of the organizations providing the guidelines concerning the use of high alert medications. According to ISMP, high alert medications are responsible for most of the adverse drug events in the intensive care units. High alert medications are characterized with a narrow therapeutic window, causing blood concentration-dependent critical therapeutic failures or adverse drug events. The top five High Alert Medications that cause adverse events include anticoagulants, sedatives, insulin, opioids, and injectable potassium chloride concentrate. The aim of the present study was to understand the prescribing pattern of High Alert Medications in the Medical Intensive Care Unit as a prospective observational study. The mean age group of the study population was 59.22±49.91 years and a majority (36%) was in late adulthood (51-65 years) stage. The duration of hospitalization varied between 3.50±2.28 days and 33.37±30.33 days. A total of 1227 drugs were prescribed, of which, 223 (18.77%) were High Alert Medications. Injection noradrenalin, fentanyl, midazolam, dopamine, and fosphenytoin sodium were found to be the most frequently prescribed High Alert Medications. Their dilution methods, a rate of infusion, stability, the rate of administration and admixture compatibility were also studied.
Authors and Affiliations
Dr. Manjula Devi . A. S, Dr. Prof. P. Jambulingam, Mohamed Ashik . M, Umadevi . H
Keywords
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- EP ID EP421638
- DOI 10.9790/0853-1712032326.
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